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Lucquin A, Robson HK, Oras E, Lundy J, Moretti G, González Carretero L, Dekker J, Demirci Ö, Dolbunova E, McLaughlin TR, Piezonka H, Talbot HM, Adamczak K, Czekaj-Zastawny A, Groß D, Gumiński W, Hartz S, Kabaciński J, Koivisto S, Linge TE, Meyer AK, Mökkönen T, Philippsen B, Piličiauskas G, Visocka V, Kriiska A, Raemaekers D, Meadows J, Heron C, Craig OE. The impact of farming on prehistoric culinary practices throughout Northern Europe. Proc Natl Acad Sci U S A 2023; 120:e2310138120. [PMID: 37844237 PMCID: PMC10614617 DOI: 10.1073/pnas.2310138120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Accepted: 09/11/2023] [Indexed: 10/18/2023] Open
Abstract
To investigate changes in culinary practices associated with the arrival of farming, we analysed the organic residues of over 1,000 pottery vessels from hunter-gatherer-fisher and early agricultural sites across Northern Europe from the Lower Rhine Basin to the Northeastern Baltic. Here, pottery was widely used by hunter-gatherer-fishers prior to the introduction of domesticated animals and plants. Overall, there was surprising continuity in the way that hunter-gatherer-fishers and farmers used pottery. Both aquatic products and wild plants remained prevalent, a pattern repeated consistently across the study area. We argue that the rapid adaptation of farming communities to exploit coastal and lagoonal resources facilitated their northerly expansion, and in some cases, hunting, gathering, and fishing became the most dominant subsistence strategy. Nevertheless, dairy products frequently appear in pottery associated with the earliest farming groups often mixed with wild plants and fish. Interestingly, we also find compelling evidence of dairy products in hunter-gatherer-fisher Ertebølle pottery, which predates the arrival of domesticated animals. We propose that Ertebølle hunter-gatherer-fishers frequently acquired dairy products through exchange with adjacent farming communities prior to the transition. The continuity observed in pottery use across the transition to farming contrasts with the analysis of human remains which shows substantial demographic change through ancient DNA and, in some cases, a reduction in marine consumption through stable isotope analysis. We postulate that farmers acquired the knowledge and skills they needed to succeed from local hunter-gatherer-fishers but without substantial admixture.
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Affiliation(s)
- Alexandre Lucquin
- BioArCh, Department of Archaeology, University of York, YorkYO10 5DD, United Kingdom
| | - Harry K. Robson
- BioArCh, Department of Archaeology, University of York, YorkYO10 5DD, United Kingdom
| | - Ester Oras
- Institute of History and Archaeology, Institute of Chemistry, University of Tartu, Tartu50411, Estonia
- Swedish Collegium for Advanced Study, Uppsala752 38, Sweden
| | - Jasmine Lundy
- BioArCh, Department of Archaeology, University of York, YorkYO10 5DD, United Kingdom
| | | | | | - Joannes Dekker
- BioArCh, Department of Archaeology, University of York, YorkYO10 5DD, United Kingdom
- Section for Geobiology, Globe Institute, University of Copenhagen, Copenhagen1350, Denmark
| | - Özge Demirci
- BioArCh, Department of Archaeology, University of York, YorkYO10 5DD, United Kingdom
- Groningen Institute of Archaeology, University of Groningen, Groningen9712, Netherlands
| | - Ekaterina Dolbunova
- The British Museum, LondonWC1B 3DG, United Kingdom
- Department of Archaeology of Eastern Europe and Siberia, State Hermitage Museum, Saint Petersburg190000, Russia
| | | | - Henny Piezonka
- Institute of Prehistoric Archaeology, Department of History and Cultural Studies, Free University, Berlin14195, Germany
| | - Helen M. Talbot
- BioArCh, Department of Archaeology, University of York, YorkYO10 5DD, United Kingdom
| | - Kamil Adamczak
- Institute of Archaeology, Faculty of History, Nicolaus Copernicus University, Toruń87-100, Poland
| | - Agnieszka Czekaj-Zastawny
- Centre for Archaeology of Hills and Uplands, Institute of Archaeology and Ethnology, Polish Academy of Sciences, Kraków00-927, Poland
| | - Daniel Groß
- Museum Lolland-Falster, Nykøbing F.4800, Denmark
| | - Witold Gumiński
- Faculty of Archaeology, University of Warsaw, Warsaw00-927, Poland
| | - Sönke Hartz
- Stiftung Schleswig-Holsteinische Landesmuseen, Schloss Gottorf, Schleswig24837, Germany
| | - Jacek Kabaciński
- Centre for Archaeology of Hills and Uplands, Institute of Archaeology and Ethnology, Polish Academy of Sciences, Kraków00-927, Poland
| | - Satu Koivisto
- Department of Archaeology, University of Turku, TurkuFI-20014, Finland
| | - Trond Eilev Linge
- University Museum of Bergen, Section for Cultural Heritage Management, Bergen5007, Norway
| | - Ann-Katrin Meyer
- Institute of Prehistoric and Protohistoric Archaeology, University of Hamburg, Hamburg20146, Germany
| | - Teemu Mökkönen
- Cultural Environment Services, The Finnish Heritage Agency, Helsinki913, Finland
| | - Bente Philippsen
- NTNU University Museum, Norwegian University of Science and Technology, TrondheimNO-7491, Norway
| | | | - Vanda Visocka
- Department of History and Archaeology, Faculty of History and Philosophy, University of Latvia, Rīga1050, Latvia
| | - Aivar Kriiska
- Department of Archaeology, Institute of History and Archaeology, University of Tartu, Tartu50090, Estonia
| | - Daan Raemaekers
- Groningen Institute of Archaeology, University of Groningen, Groningen9712, Netherlands
| | - John Meadows
- Centre for Baltic and Scandinavian Archaeology, Schleswig24837, Germany
| | - Carl Heron
- The British Museum, LondonWC1B 3DG, United Kingdom
| | - Oliver E. Craig
- BioArCh, Department of Archaeology, University of York, YorkYO10 5DD, United Kingdom
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Park JS, Chan DK, Parikh SR, Meyer AK, Rosbe KW. Surgical outcomes and sleep endoscopy for children with sleep-disordered breathing and hypotonia. Int J Pediatr Otorhinolaryngol 2016; 90:99-106. [PMID: 27729162 DOI: 10.1016/j.ijporl.2016.09.004] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2016] [Revised: 07/31/2016] [Accepted: 09/05/2016] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To study the efficacy of surgical management for obstructive sleep apnea (OSA) syndrome in children with hypotonia, and to identify common anatomic sites of airway obstruction. METHODS Retrospective chart review of polysomnographic parameters and quality of life instrument scores for seventy eight children with hypotonia who underwent surgical intervention for sleep-disordered breathing at two tertiary children's hospitals, and analysis of drug-induced sleep endoscopy data using a previously validated scoring system. RESULTS Children undergoing surgical intervention had baseline severe OSA with a statistically significant improvement in apnea-hypopnea index from 23.6 to 11.1 after surgery, but persistent severe OSA. OSA-18 sleep-related quality of life measurement and overall quality of life score showed statistically and clinically significant improvements, from 72.0 to 43.4 and from 5.3 to 7.6 respectively. Sleep endoscopy showed an average obstructive score of 7.2/15 (n = 39), with multi-level obstruction in 49% of children. Greater than 50% obstruction was observed at the tongue base in 64% of patients, velum in 46%, lateral pharyngeal wall in 38%, supraglottis in 38%, and adenoid in 23%. CONCLUSION OSA syndrome is challenging to treat in hypotonic children. Severe residual OSA is common after surgical intervention, but improvement in quality of life is clinically and statistically significant. The tongue base is the most common site of persistent airway obstruction. Drug-induced sleep endoscopy can identify sites of airway obstruction and may aid in surgical planning for high-risk patients.
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Affiliation(s)
- J S Park
- University of California, San Francisco, Pediatric Otolaryngology, 550 16th Street, San Francisco, CA 94158, USA
| | - D K Chan
- University of California, San Francisco, Pediatric Otolaryngology, 550 16th Street, San Francisco, CA 94158, USA
| | - S R Parikh
- Seattle Children's Hospital, Pediatric Otolaryngology, 4800 Sand Point Way NE, Seattle, WA 98105, USA
| | - A K Meyer
- University of California, San Francisco, Pediatric Otolaryngology, 550 16th Street, San Francisco, CA 94158, USA
| | - K W Rosbe
- University of California, San Francisco, Pediatric Otolaryngology, 550 16th Street, San Francisco, CA 94158, USA.
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Barnado A, Wheless L, Meyer AK, Gilkeson GS, Kamen DL. Quality of life in patients with systemic lupus erythematosus (SLE) compared with related controls within a unique African American population. Lupus 2011; 21:563-9. [PMID: 22031537 DOI: 10.1177/0961203311426154] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The patient's perspective of how their health affects their function is health-related quality of life (HRQOL). HRQOL is poorer in patients with systemic lupus erythematosus (SLE). Few HRQOL studies in SLE patients have focused on African Americans despite an increased disease burden compared with Caucasians. The African American Gullah population of South Carolina has a homogeneous genetic and environmental background and a high prevalence of multi-patient families with SLE. Demographics, medical history, and Short-Form 36 (SF-36) were measured within a cohort of Gullah SLE cases and related controls. Compared with related controls (n = 37), cases (n = 89) had a lower Physical Component Summary (PCS, 41.8 vs. 52.3, p < 0.01), but not Mental Component Summary (MCS, 55.0 vs. 56.0, p = 0.70). The difference in PCS was no longer significant upon adjustment for working status, disability, and medical conditions. None of the 11 SLE American College of Rheumatology criteria, disease duration, or Systemic Lupus International Collaborating Clinics Damage Index were associated with either PCS or MCS. Cases and controls had similar MCS scores. We hypothesize that this lack of effect of SLE on MCS may be due to disease-coping mechanisms interplaying with cultural factors unique to the Gullah.
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Affiliation(s)
- A Barnado
- Department of Medicine, Duke University, Durham, NC, USA
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Rösler A, Hofmann W, von Renteln-Kruse W, Flesch P, Greuel HW, Hoffmann J, Hofmann W, Kopf D, Meyer AK, Merk B, Nehen HG, Püllen R, Schwab J, von Renteln-Kruse W, Weil K. [Special care units for the treatment of acutely ill, cognitively impaired geriatric patients in Germany]. Z Gerontol Geriatr 2011; 43:249-53. [PMID: 20848262 DOI: 10.1007/s00391-010-0132-7] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
During recent years, specialized wards have been established in geriatric hospital departments as a consequence of the growing need of special care for acutely ill older patients, who are also cognitively impaired. However, there are neither established standards nor any commonly agreed concept of care. A written survey among 12 specialized wards in Germany revealed some characteristics of these wards: extended geriatric assessment, special education of staff including validation and gerontopsychiatric issues, and particular equipment/architecture, such as hidden doors and group rooms, and in some cases loop tracks for walking, therapeutic facilities, and 'living rooms' on the wards. There is a wide variability with respect to the designation of these wards, the number of beds, length of stay, and admission criteria. It appears from this survey that there should be an exchange of empirical experience made on these wards, and there is a need of collaborative research on its usefulness.
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Affiliation(s)
- A Rösler
- Medizinisch-Geriatrische Klinik, Albertinen-Haus, Zentrum für Geriatrie und Gerontologie, Wissenschaftliche Einrichtung an der Universität Hamburg, Sellhopsweg 18-22, 22459 Hamburg.
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